Prospective short-term feasibility study of perioperative suprapubic catheters in laparoscopic colectomy

Asian Journal of Endoscopic Surgery
Sayaka NagaoShinya Kusachi

Abstract

Here we report a prospective study on whether a temporary suprapubic catheter (SPC) can be safely inserted as a substitute for transurethral balloon catheterization during laparoscopy-assisted colectomy. Our subjects included 52 cases who gave informed consent to have an SPC inserted. These subjects were selected from cases who underwent laparoscopy-assisted surgery for primary colorectal cancer from October 2014 to August 2015. An SPC was inserted into 45 of the original 52 cases. The median surgical duration was 220 min (range, 11-438 min), and the SPC insertion was performed at a median of 133 min (range, 9-384 min) after the start of surgery. Insertion required a median duration of 116 s. In one case (2.2%), the bladder was perforated by the paracentesis needle, and in two cases (4.4%), hematuria was observed at the time of insertion; however, surgery was completed without any incident in these three cases. Six of the remaining 42 cases (13.3%) demonstrated neither micturition desire nor independent urination on the day the catheter was clamped. In these cases, the clamp was released two to four times, and draining of an average of 586-mL urine, micturition desire, and independent urination were confirmed 2-4 days later. Tr...Continue Reading

References

Oct 15, 2009·Anesthesiology Clinics·Daniela M DarrahJeffrey H Silverstein
Jan 22, 2013·Colorectal Disease : the Official Journal of the Association of Coloproctology of Great Britain and Ireland·B M StubbsD Francis
Oct 8, 2014·Journal of Cardiothoracic and Vascular Anesthesia·Cédrick Zaouter, Alexandre Ouattara

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